摘要
目的分析以行为转变理论模式(TTM)为导向的认知行为护理干预对乳腺癌术后患者自我管理能力及自我效能感的影响。方法选取开封市第三人民医院2022年11月至2024年6月收治的111例乳腺癌术后患者,依照住院时间顺序分为对照组(56例)及观察组(55例)。对照组采用常规护理干预,观察组在常规护理基础上采用以TTM为导向的认知行为护理干预。比较两组并发症发生率、自我效能感[一般自我效能量表(GSES)]、自我管理能力[自我护理能力测定表(ESCA)]、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、疼痛程度[数字评定法(NRS)]。结果干预后观察组并发症总发生率为7.27%(4/55)低于对照组的[21.43%(12/56)],差异有统计学意义(P<0.05);干预后观察组GSES、ESCA得分为[(32.16±1.51)分、(135.16±5.10)分]高于对照组的[(28.49±1.38)分、(127.39±4.52)分],观察组SAS、SDS得分为[(41.56±1.89)分、(43.08±2.01)分]低于对照组的[(47.21±2.23)分、(49.40±2.38)分],差异有统计学意义(P<0.05);术后3 d、7 d观察组NRS得分为[(3.95±0.39)分、(2.13±0.21)分]低于对照组的[(4.36±0.46)分、(3.86±0.40)分],差异有统计学意义(P<0.05)。结论以TTM为导向的认知行为护理干预能减轻乳腺癌术后患者疼痛程度,减轻不良情绪,提高自我效能感,增强自我管理能力,降低术后并发症发生率。
ObjectiveTo analyze the impact of Trans-Theoretical Model(TTM)-oriented cognitive behavioral nursing intervention on the self-management ability and self-efficacy of postoperative breast cancer patients.MethodsA total of 111 postoperative breast cancer patients admitted to the Third People's Hospital of Kaifeng City from November 2022 to June 2024 were selected and divided into the control group(56 cases)and the observation group(55 cases)according to the order of hospitalization time.The control group received routine nursing intervention,while the observation group received TTM-oriented cognitive behavioral nursing intervention on the basis of routine nursing.The incidence of complications,self-efficacy[General Self-Efficacy Scale(GSES)],self-management ability[Self-Care Ability Scale(ESCA)],adverse emotions[Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)]and pain level[Numerical Rating Scale(NRS)]were compared between the two groups.ResultsAfter intervention,the total incidence of complications in the observation group was 7.27%(4/55),which was lower than that in the control group[21.43%(12/56)],and the difference was statistically significant(P<0.05).After intervention,the scores of GSES and ESCA in the observation group were(32.16±1.51)points and(135.16±5.20)points,which were higher than those in the control group[(28.49±1.38)points,(127.39±4.52)points].The scores of SAS and SDS were(32.16±1.51)points and(43.08±2.01)points,which were lower than those in the control group[(47.21±2.23)points,(49.40±2.38)points],and the differences were statistically significant(P<0.05).Compared with the control group,the NRS scores of the observation group at 3 days and 7 days after the operation were(3.95±0.39)points and(2.13±0.21)points,which were lower than thost in the control group[(4.36±0.46)points,(3.86±0.40)points],and the differences were statistically significant(P<0.05).ConclusionsTTM-oriented cognitive behavioral nursing intervention can reduce the pain degree of postoperative patients with breast cancer,alleviate negative emotions,improve self-efficacy,enhance self-management ability,and reduce the incidence of postoperative complications.
作者
马群
徐丽
杨利娜
Ma Qun;Xu Li;Yang Lina(Department of Operating Room,the Third People's Hospital of Kaifeng City(The First People's Hospital of Xiangfu District),Kaifeng 475100,China;Department of Operating Room,Henan Provincial People's Hospital,Zhengzhou 450000,China)
出处
《国际护理学杂志》
2025年第13期2311-2315,共5页
international journal of nursing
基金
河南省医学科技攻关联合共建项目(LHGJ20221088)。
关键词
乳腺癌
行为转变理论模式
认知行为护理
自我管理能力
Breast cancer
Trans-Theoretical Model(TTM)of behavior
Cognitive behavior nursing
Self-management ability
